Federal Register / Vol. 86, No. 137 / Wednesday, July 21, 2021 / Notices 38491 

ANNUAL BURDEN ESTIMATES

[2 year clearance] 

Instrument 

Number of 

respondents 

(total over 

request 

period) 

Number of 

responses per 

respondent 

(total over 

request 

period) 

Average 

burden per 

response 

(in hours) 

Total burden 

(in hours) 

Annual burden 

(in hours) 

Classroom/home visitor sampling form (from EHS staff) .... 407 1 0.17 69 35 

Child roster form (from EHS staff) ....................................... 252 1 0.33 83 42 

Parent consent form ............................................................ 2,495 1 0.17 424 212 

Parent survey ....................................................................... 2,084 1 0.53 1,105 553 

Parent Child Report ............................................................. 2,008 1 0.33 663 332 

Staff survey (Teacher survey and Home Visitor survey) .... 1,317 1 0.5 659 330 

Staff Child Report ................................................................ 1,046 2.13 0.25 262 131 

Program director survey ...................................................... 120 1 0.5 60 30 

Center director survey ......................................................... 294 1 0.5 147 74 

Parent-child interaction ........................................................ 996 1 0.17 169 85 

Estimated Total Annual Burden 

Hours: 1,824. 

Comments: The Department 

specifically requests comments on (a) 

whether the proposed collection of 

information is necessary for the proper 

performance of the functions of the 

agency, including whether the 

information shall have practical utility; 

(b) the accuracy of the agency’s estimate 

of the burden of the proposed collection 

of information; (c) the quality, utility, 

and clarity of the information to be 

collected; and (d) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

or other forms of information 

technology. Consideration will be given 

to comments and suggestions submitted 

within 60 days of this publication. 

Authority: Sec. 645A and 649 of the 

Improving Head Start for School 

Readiness Act of 2007. 

Mary B. Jones, 

ACF/OPRE Certifying Officer. 

[FR Doc. 2021–15509 Filed 7–20–21; 8:45 am] 

BILLING CODE 4184–22–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

National Practitioner Data Bank: 

Change in User Fees 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: HRSA, a sub-agency of the 

Department of Health and Human 

Services, is announcing a change in user 

fees charged to individuals and entities 

authorized to request information from 

the National Practitioner Data Bank 

(NPDB). The new fee will be $2.50 for 

both continuous and one-time queries 

and $3.00 for self-queries. In addition, 

as self-query results are now digitally 

certified, the NPDB will no longer 

automatically provide a mailed paper 

copy of self-query results. If selfqueriers would like paper copies mailed 

to them, there will be an additional 

$3.00 charge per copy. The change in 

NPDB user fees is intended to encourage 

electronic processing while both 

ensuring sufficient funding to the full 

cost of NPDB operations and retaining 

appropriate cash reserves. The cash 

reserves are used to mitigate risks, cover 

operational costs should revenue 

decrease, and cover the cost of 

reasonable enhancement and 

maintenance of the NPDB management 

system. HRSA operational standards 

require review of NPDB user fees every 

2 years. The biennial review of NPDB 

user fees offers HRSA the opportunity to 

evaluate its reserves as well as revenue 

relative to costs. Further, the review 

provides essential information on 

whether the fee rates and authorized 

activities are aligned with actual 

program costs and activities, and can 

help promote greater understanding of 

the fee by NPDB users. 

DATES: This change will be effective 

October 1, 2021. 

FOR FURTHER INFORMATION CONTACT: 

David Loewenstein, Director, Division 

of Practitioner Data Bank, Bureau of 

Health Workforce, HRSA, (301) 443– 

2300, NPDBPolicy@hrsa.gov. 

SUPPLEMENTARY INFORMATION: The 

current fee structure ($2.00/continuous 

query enrollment, $2.00/one-time query, 

and $4.00/self-query) was announced in 

the Federal Register on July 20, 2016 

(81 FR 47173), and became effective on 

October 1, 2016. One-time queries, 

continuous query enrollments, and selfqueries are submitted and query 

responses are received through the 

NPDB’s secure website. Fees are paid 

via electronic funds transfer, debit card, 

or credit card. 

The NPDB is authorized by the Health 

Care Quality Improvement Act of 1986 

(the Act), Title IV of Public Law 99–660, 

as amended (42 U.S.C. 11101 et seq.). 

Further, two additional statutes 

expanded the scope of the NPDB— 

Section 1921 of the Social Security Act, 

as amended (42 U.S.C. 1396r–2) and 

Section 1128E of the Social Security 

Act, as amended (42 U.S.C. 1320a–7e). 

Information collected under the Section 

1128E authority was consolidated 

within the NPDB pursuant to Section 

6403 of the Affordable Care Act, Public 

Law 111–148; this consolidation became 

effective on May 6, 2013. 

42 U.S.C. 11137(b)(4), 42 U.S.C. 

1396r–2(e), and 42 U.S.C. 1320a–7e(d) 

authorize the establishment of fees for 

the costs of processing requests for 

disclosure of such information. Final 

regulations at 45 CFR part 60 set forth 

the criteria and procedures for 

information to be reported to and 

disclosed by the NPDB. In determining 

any changes in the amount of user fees, 

the Department uses the criteria set 

forth in section 60.19(b) of the 

regulations. Section 60.19(b) states: 

‘‘The amount of each fee will be 

determined based on the following 

criteria: 

(1) Direct and indirect personnel 

costs, including salaries and fringe 

benefits such as medical insurance and 

retirement, 

(2) Physical overhead, consulting, and 

other indirect costs (including materials 

and supplies, utilities, insurance, travel, 

and rent and depreciation on land, 

buildings, and equipment), 


jbell on DSKJLSW7X2PROD with NOTICES
38492 Federal Register / Vol. 86, No. 137 / Wednesday, July 21, 2021 / Notices 

(3) Agency management and 

supervisory costs, 

(4) Costs of enforcement, research, 

and establishment of regulations and 

guidance, 

(5) Use of electronic data processing 

equipment to collect and maintain 

information—the actual cost of the 

service, including computer search 

time, runs and printouts, and 

(6) Any other direct or indirect costs 

related to the provision of services.’’ 

The Department will continue to 

review the user fees periodically as 

required by Office of Management and 

Budget Circular Number A–25 and will 

revise fees as necessary. Any future 

changes in user fees and their effective 

dates will be announced in the Federal 

Register. 

Diana Espinosa, 

Acting Administrator. 

[FR Doc. 2021–15514 Filed 7–20–21; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Twelfth Meeting of the National Clinical 

Care Commission 

AGENCY: Office on Women’s Health, 

Office of the Assistant Secretary for 

Health, Office of the Secretary, 

Department of Health and Human 

Services. 

ACTION: Notice. 

SUMMARY: The National Clinical Care 

Commission (the Commission) will 

conduct its twelfth and final meeting 

virtually on September 8, 2021. The 

Commission is charged to evaluate and 

make recommendations to the U.S. 

Department of Health and Human 

Services (HHS) Secretary and Congress 

regarding improvements to the 

coordination and leveraging of federal 

programs related to diabetes and its 

complications. 

DATES: The final meeting will take place 

September 8, 2021 from 1 p.m. to 

approximately 6 p.m. Eastern Time (ET). 

ADDRESSES: The meeting will be held 

online via webinar. To register to attend 

the meeting, please visit the registration 

website at https://

kauffmaninc.adobeconnect.com/ 

nccc12_2021/event/event_info.html. 

FOR FURTHER INFORMATION CONTACT: Kara 

Elam, Ph.D., MPH, MS, Designated 

Federal Officer, National Clinical Care 

Commission, U.S. Department of Health 

and Human Services, Office on 

Women’s Health, 200 Independence 

Ave. SW, 7th floor, Washington DC, 

20201, Phone: (240) 435–9438, Email: 

Kara.Elam@hhs.gov. 

SUPPLEMENTARY INFORMATION: The 

National Clinical Care Commission Act 

(Pub. L. 115–80) requires the HHS 

Secretary to establish the National 

Clinical Care Commission. The 

Commission consists of representatives 

of specific federal agencies and nonfederal individuals who represent 

diverse disciplines and views. The 

Commission will evaluate and make 

recommendations to the HHS Secretary 

and Congress regarding improvements 

to the coordination and leveraging of 

federal programs related to diabetes and 

its complications. 

During the meeting, the Commission 

will vote to approve the final report to 

be submitted to Congress. The final 

meeting agenda will be available prior 

to the meeting at https://health.gov/ourwork/health-care-quality/nationalclinical-care-commission/meetings. 

Public Participation at Meeting: The 

Commission invites public comment on 

issues related to the Commission’s 

charge. There will be an opportunity for 

limited oral comments (each no more 

than 3 minutes in length) at this virtual 

meeting. Virtual attendees who plan to 

provide oral comments at the 

Commission meeting during a 

designated time must register prior to 

the meeting at https://

kauffmaninc.adobeconnect.com/ 

nccc12_2021/event/event_info.html. 

Written comments are welcome 

throughout the entire development 

process of the Commission’s work and 

may be emailed to OHQ@hhs.gov. 

Written comments should not exceed 

three pages in length. 

Individuals who need special 

assistance, such as sign language 

interpretation or other reasonable 

accommodations, should indicate the 

special accommodation when 

registering online or by notifying 

Jennifer Gillissen at jennifer.gillissen@

kauffmaninc.com by August 30, 2021. 

Authority: The National Clinical Care 

Commission is required under the 

National Clinical Care Commission Act 

(Pub. L. 115–80). The Commission is 

governed by provisions of the Federal 

Advisory Committee Act (FACA), Public 

Law 92–463, as amended (5 U.S.C., 

App.) which sets forth standards for the 

formation and use of federal advisory 

committees. 

Dated: July 14, 2021. 

Dorothy A. Fink, 

Deputy Assistant Secretary for Women’s 

Health. 

[FR Doc. 2021–15507 Filed 7–20–21; 8:45 am] 

BILLING CODE 4150–32–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute on Aging; Notice of 

Closed Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Institute on 

Aging Special Emphasis Panel; Clinical 

Courses. 

Date: August 30, 2021. 

Time: 10:00 a.m. to 11:00 a.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institute on Aging, 

Gateway Building, 7201 Wisconsin Avenue, 

Bethesda, MD 20892 (Video Meeting). 

Contact Person: Greg Bissonette, Ph.D., 

Scientific Review Officer, Scientific Review 

Branch, National Institute on Aging, National 

Institutes of Health, 7201 Wisconsin Avenue, 

Gateway Building, Suite 2W200, Bethesda, 

MD 20892, 301–402–1622, bissonettegb@

mail.nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.866, Aging Research, 

National Institutes of Health, HHS) 

Dated: July 15, 2021. 

Miguelina Perez, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2021–15450 Filed 7–20–21; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Center for Scientific Review; Notice of 

Closed Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 


jbell on DSKJLSW7X2PROD with NOTICES